Active NPI
Timothy Adam Walth, DC
- Chiropractor
- Stockton, CA
National Provider Identifier
1730110461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 15451
- Practice address
- 8829 Davis Rd Ste 1
Stockton, CA 95209-1871 - Phone
- (209) 474-3764
- Fax
- (209) 474-0506
- NPI assigned
- Jul 5, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 15451 | CA | Primary |
Addresses
Primary practice location
8829 Davis Rd Ste 1
Stockton, CA 95209-1871
Mailing address
8829 Davis Rd Ste 1
Stockton, CA 95209-1871
Phone (209) 474-3764
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15451 | CA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1730110461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8829 DAVIS RD STE 1",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952091871",
"telephone_number": "209-474-3764",
"fax_number": "209-474-0506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8829 DAVIS RD STE 1",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952091871",
"telephone_number": "209-474-3764",
"fax_number": "209-474-0506"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALTH",
"first_name": "TIMOTHY",
"middle_name": "ADAM",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-05",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "15451",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stockton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.